Key result
Primary care achieves target beta-blocker dosing in only ~10% of CHF outpatients.
Why the study?
Primary care efficacy in managing patients with chronic heart failure was suboptimal, with gaps in drug therapy and physician knowledge.
Population
139 outpatients with chronic heart failure and 35 primary care physicians
Comparison
Evaluation of drug therapy and patient/physician knowledge and burnout status
Design
Cross-sectional study
Authors
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Highlights gaps in primary care CHF management; hypothesis-generating for interventions targeting guideline knowledge and burnout.
Cross-Sectional (n=174)
There is significant under-dosing of guideline-directed medical therapy for heart failure in primary care, coupled with high rates of physician burnout.
Oleg A. Shtegman (2013) conducted a cross-sectional in Chronic heart failure (n=174). Primary care management was evaluated on Receipt of target doses of ACE inhibitors/sartans and beta-blockers. Primary care management of chronic heart failure showed that only 39% and 10% of outpatients received target doses of ACE inhibitors/sartans and beta-blockers, respectively.
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